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I (applicant) hereby make appli <br />(CUP) for the following: 4 or <br />all / � <br />to the Land Use and InAfrmation Committee for a Conditional Use Permit <br />wti <br />C <br />P <br />P <br />/d7S tLi4� C4 *70-,r I4 / C al�d1�C'yV' <br />S, e� 4.•� 9e ` w��� hX taeAV e- <br />., <br />C-4 <br />A plot plan drawing is required. Plot plan shall be drawn with a scale preferably at 1"=20' or multiples of a <br />10'. Scale shall not exceed 1"=50'. Note the scale used on the drawing. Plot plan drawing shall be on letter <br />or legal size paper with North being at the top of the page. (.Make sure all items below are shown): <br />❑ Property lines, road right-of-ways, and road centerlines including distances to prop es, road right -of --ways an <br />road centerlines for all existing and proposed structures on the parcel <br />C/�a�n OPJ l� / <br />❑ Show area to used for the proposed Conditional Use <br />❑ All existing uses on parcels adjacent to the parcel for this request <br />❑ All existing zoning districts on parcels adjacent to the parcel for this request <br />G 141 <br />❑ Vegetation proposed to be removed or disturbed -; •I & �g <br />❑ Ordinary High Water Mark (OHIYVNI) and distances to it from all existing and proposed structures; must show all <br />within 200 ft of structures <br />Floodplain and wetland boundaries and distances to them from all existing and proposed structures; must show all <br />within 200 ft of structures <br />Dimensions, locations and setbacks of all existing and proposed structures including all <br />decks/porches/walkways/etc; must show dimensions for ALL items <br />❑ Existing and proposed utilities and utility easements <br />❑ Sanitary system, drainfield and well with distances to property lines, OHWM, wetlands, floodplains, existing and <br />proposed buildings <br />❑ Location and extent of filling/grading <br />❑ Location and type of erosion control measures <br />❑ Any other construction related to your project <br />❑ North arrow <br />Page 2 of 4 <br />Burnett County, WI Conditional Use Permit (CUP) .application — Rev 3/2016 <br />